A 42-year-old married psychiatric nurse greets a newly admitted adolescent female for the first time. The BEST opening statement is:
a. "Hello, Annie, I'm Nancy." (intuitively grasps the adolescent's need for female bonding)
b. "Hi, sweetie, don't worry about a thing, I promised your mom I'd take good care of you!" (encourages hope that the hospital experience will be positive)
c. "Hello, my name is Nancy Potts. You can call me either ‘Nancy' or ‘Mrs. Potts.' What name would you like me to call you?" (supports individual identity)
d. "Hey, there, what's your name?" (shows respect for client's right to make choices)
C
The most appropriate greeting is for the nurse to introduce herself and ask the client how the client would like to be addressed. This greeting supports development of the first stage of the therapeutic nurse-client relationship. During this stage introductions are made and boundaries are identified.
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In management of a newly diagnosed, low-risk client with hypertension, the nurse should expect the initial treatment to include:
1. Dietary management, exercise regimen, and stress reduction. 2. Restriction of fluid and sodium intake. 3. Lifestyle modification and a diuretic medication. 4. Aggressive treatment with diuretics, beta blockers, and a 1,000-calorie diet.
An older patient has sensitivity to light. What should the nurse teach the patient to help with this problem?
1. Dim the lights on sunny days. 2. Place dark patterned rugs on stairs. 3. Use supplementary lamps near work. 4. Remove lampshades to provide more light.
The family of an 80-year-old patient shares with the nurse that they are concerned that the patient is too frail to be living alone. The nurse's initial intervention is to
a. help the patient express the importance of living independently to the family mem-bers. b. assess the patient's functional abilities re-lated to being able to safely live indepen-dently. c. have the family provide specific examples of behaviors that cause them concern. d. identify ways the family can help assure the patient's safety while living indepen-dently.
The Texas Health and Safety Code, Section 571.004 states that the "least restrictive alternative" is the treatment that
a. is available. b. provides the patient with the greatest possibility of improvement or cure. c. is no more restrictive of patient's physical or social liberties than is necessary to provide the patient with the most effective treatment. d. Protects adequately against any danger the patient poses to him or herself, or others. e. All of the above.